person
Douglas Allan Johnson
General Practice Physician in International Falls, Minnesota
NPI 1841223708

Douglas Allan Johnson is a General Practice Physician based in International Falls, MN. Douglas Allan Johnson practices in International Falls, MN. The NPI Number for Douglas Allan Johnson is 1841223708 and holds a License No. 22875 (Minnesota).

The current practice location address for Douglas Allan Johnson is 2501 Keenan Dr, International Falls, MN and can be reached out via phone at 218-293-9431 and via fax at 218-285-6875.

Location: 2501 Keenan Dr, International Falls, MN, 56649-2181
person
Provider Profile Details
NPI Number
1841223708
Provider Name
Douglas Allan Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2501 Keenan Dr, International Falls, MN, 56649-2181
Phone Number
218-293-9431
Fax Number
218-285-6875
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32404500 05 WI
303363500 05 MN
institution
Provider Business Practice Location Address Details
Address
2501 Keenan Dr
City
State
Zip
56649-2181
Phone Number
218-293-9431
Fax Number
218-285-6875
person
Provider Business Mailing Address Details
Address
2501 Keenan Dr
City
State
Zip
56649-2181
Phone Number
218-293-9431
Fax Number
218-285-6875
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
22875 (Minnesota)
Definition
Definition to come...
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